Spinal instrumentation for interfacet locking injuries of the subaxial cervical spine

Mizuno, Junichi; Nakagawa, Hiroshi; Inoue, Takahiro; Nonaka, Yasuomi; Song, Joonsuk; Romli, Tiya M.

doi:10.1016/j.jocn.2005.11.052

Cited by 12 publications

(7 citation statements)

References 15 publications

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“…In most cases, despite equal results in terms of fusion rate, recovery, alignment, or long-term complaints between anterior and posterior approaches [ 14 , 16 , 17 ], the anterior approach in acute cervical dislocations is preferred by some authors because of the risk of disc herniation impinging the cord occurring when reducing the dislocation by a posterior approach [ 15 , 17 , 18 ]. A vast majority of patients were reduced (in recent dislocations) by an anterior approach in a first stage [ 14 , 17 ]; a second stage by a posterior approach could be added to increase the stability [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Delayed Treatment of Traumatic Cervical Dislocation: A Case Report and Literature Review

Stassen

Scorpie

et al. 2022

Case Reports in Orthopedics

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Neglected unreduced cervical dislocation is very uncommon. In our case (a lady who stayed asymptomatic for 13 months before development of cervicobrachialgia), the anterior reduction/arthrodesis was easy, and we did not find any benefit from an additional posterior procedure thanks to a congenital block between C7 and T1 vertebral bodies. This point is nevertheless a matter of debate. After a review of the literature, we did not find any consensus about the ideal scheme and sequence to reduce and stabilize this delayed type of cervical trauma. We emphasize the need of dynamic radiographies to exclude unstable injuries but also a prereduction MRI (especially in unexaminable patients) to detect any dangerous disc fragment. If there is no visible change in the radiological status while attempting to reduce the dislocation by external maneuvers, there is little chance to reduce it successfully only by a single approach. Therefore, in irreducible delayed dislocations, it seems safer to prepare the reduction/fusion stage (either anterior/posterior, depending on the habits and skills of the surgeon) by a first stage carrying out a release of the fibrous tissues on the opposite side (either posterior to release the facet joints or anterior to release the intervertebral disc), followed by the reduction/fusion stage itself and then by a third stage to lock the level. Like many authors, we recommend an anterior approach first in case of an extruded disc visible on the MRI, and therefore, we show a preference for the anterior-posterior-anterior sequence in irreducible delayed cervical dislocations.

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Section: Discussionmentioning

confidence: 99%

Delayed Treatment of Traumatic Cervical Dislocation: A Case Report and Literature Review

Stassen

Scorpie

et al. 2022

Case Reports in Orthopedics

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“…The surgical treatment of old fracture and dislocation of the lower cervical spine has been controversial [ 13 , 14 ]. Bartel et al recommend the posterior-anterior-posterior surgery for the treatment of old fracture and dislocation of the lower cervical spine [ 8 ], while other scholars report that the anterior-posterior surgery is the best choice for this kind of injury [ 15 , 16 ]. However, combined surgery has the disadvantages of multiple postures and great trauma.…”

Section: Discussionmentioning

confidence: 99%

Clinical Efficacy of Anterior Partial Corpectomy and Titanium Mesh Fusion and Internal Fixation for Treatment of Old Fracture Dislocation of the Lower Cervical Spine

et al. 2017

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BackgroundThe aim of this study was to analyze the clinical features and to evaluate the efficacy of anterior partial corpectomy and titanium mesh fusion and internal fixation of old fracture dislocation of the lower cervical spine.Material/MethodsWe retrospectively analyzed the clinical data of 52 patients with old lower cervical fracture and dislocation treated with anterior partial corpectomy and titanium mesh fusion fixation between January 2008 and December 2013, with a mean follow-up period of 4.1 years. There were 35 males and 17 females. Patient radiological data and clinical parameters were recorded and compared before and after the operations.ResultsThe average follow-up was 4.1 years. Intervertebral height and physiological curvature were well-reconstructed for all cases. No loosening or rupturing of titanium plate or screw occurred. The neurological function of the patients with incomplete spinal cord injury was significantly improved, and the function of the nerve roots at the injury level was also improved in patients with complete spinal cord injury. Bone fusion was completed within 6 months to 1 year after surgery.ConclusionsCompleted decompression, sequence and physiological curvature of the cervical vertebra, immediate and long-term anterior cervical column support, and nerve function restoration can be achieved by using anterior partial corpectomy and titanium mesh fusion and internal fixation to treat old fracture dislocation of the lower cervical spine. For cases with locked facet joints or posterior structures invading the vertebral canal, the combined anterior and posterior approaches should be performed, when necessary, to achieve better results.

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“…Furthermore, if a facet dislocation, with or without fracture, is irreducible by traction, posterior approach would be choose initially. 1,5,7,17,23 The only case where anterior approach is clearly chosen is when an anterior decompression is required (slipped disc, burst fractures).…”

Section: Discussionmentioning

confidence: 99%

Surgical approach in treatment of translation/rotation injuries of the lower cervical spine in 21 patients

et al. 2012

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Spinal instrumentation for interfacet locking injuries of the subaxial cervical spine

Cited by 12 publications

References 15 publications

Delayed Treatment of Traumatic Cervical Dislocation: A Case Report and Literature Review

Delayed Treatment of Traumatic Cervical Dislocation: A Case Report and Literature Review

Clinical Efficacy of Anterior Partial Corpectomy and Titanium Mesh Fusion and Internal Fixation for Treatment of Old Fracture Dislocation of the Lower Cervical Spine

Surgical approach in treatment of translation/rotation injuries of the lower cervical spine in 21 patients

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